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1 results

  • Endaural meatoplasty: the Whipps Cross technique

  • S Patil, J Ahmed, N Patel
  • Journal:
    The Journal of Laryngology & Otology / Volume 125 / Issue 1 / January 2011
    Published online by Cambridge University Press:
    13 September 2010, pp. 78-81
    Print publication:
    January 2011
  • Objective:

    To describe our technique of endaural meatoplasty for mastoid surgery, and to publish an online video demonstration.

    Method:

    After the endaural incision, a skin incision is accurately marked over the anterior conchal bowl, identified by pushing the anti-helix anteriorly. This should meet the line of the endaural incision superiorly and extend inferiorly to the lower anterior edge of the conchal cartilage. After performing the incision, a segment of conchal cartilage is removed. The soft tissue meatoplasty is facilitated by resecting a triangular segment of skin and underlying soft tissue medial to the conchal incision (on which it is based). The free edges are closed with absorbable sutures after the (attico)mastoidectomy.

    Results:

    We have used this method on 64 patients over the past two years. Satisfactory functional and cosmetic outcomes were achieved in all.

    Conclusion:

    Our technique is simple, easy to learn, quick and effective in helping to achieve our goal of a dry mastoid cavity with an adequate meatoplasty.